Individual
PETER EDWARD DORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11 WOODLAND RD STE 2, MADISON, CT 06443-2380
(203) 800-6159
Mailing address
790 1ST AVE APT 19, WEST HAVEN, CT 06516-2771
(203) 305-6037
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10589
CT
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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